Organization Active NPI

Nurses on Wheels Homeservices LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1043961642
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NURSES ON WHEELS HOMESERVICES LLC
Practice address
11001 S Michigan Ave Ste 105
Chicago, IL 60628-4308
Phone
(773) 313-9040
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alesia Boyd Carlock
Title
Director
Phone
(773) 313-9040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Prison Health Clinic/Center 261QP2400X

Addresses

Primary practice location

11001 S Michigan Ave Ste 105
Chicago, IL 60628-4308

Mailing address

11001 S Michigan Ave Ste 105
Chicago, IL 60628-4308
Phone (773) 313-9040

National Provider Directory

National Provider Directory

Locations

11001 S Michigan Ave
Ste 105
Chicago, IL 60628
Phone (773) 313-9040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1043961642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 S MICHIGAN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284308",
            "telephone_number": "773-313-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 S MICHIGAN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284308",
            "telephone_number": "773-313-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSES ON WHEELS HOMESERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BOYD CARLOCK",
        "authorized_official_first_name": "ALESIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-313-9040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.